Short-Term Mission Trip Application

Personal Information

Phone number *

Marital status *

Birthdate *

Gender *

What trip are you interested in? *

Please only select one option.

Southeast Asia (February 13-23, 2026)

Dominican Republic (March 7-14, 2026)

Kenya (May 9-16, 2026)

Memphis (July 18-24, 2026) 7th-12th Grade Only

Dominican Republic (July 25-31, 2026)

How would you describe your present health? *

Excellent

Good

Poor

Please state any major illness(es) you have had in the last five years.

Are you a Member of The Orchard Church? *

Yes

No

As a potential team member in missions, your faithfulness is critical. Please answer the following three requirements honestly. *

I am a born again Christian.

I regularly give to God through my church.

I am a faithful member of a Life Group.

How long have you been a Member of The Orchard Church? *

In the space provided below, please share your testimony. *

Include when you came to know Christ.

Briefly explain what you hope to see the Lord do in and through you on this mission trip. *

Please list your spiritual gifts (if known) and how you think you use them on the trip.

Please list any foreign language training and your level of proficiency.

Please indicate any special skills, talents, or Christian service experience that you feel may be helpful on this trip.

Please list any previous mission experience.

Please list the ministries or church leadership in which you have been involved.

Please provide two references. One reference should be an Orchard Church member/ Pastor in an area which you have served doing ministry.

Reference #1 *

Please include: Name, Relationship, Email, and Phone Number.

Reference #2 *

Please include: Name, Relationship, Email, and Phone Number.